Tumor markerNormal valuePrimary tumor(s)Additional associated malignanciesBenign conditionsLevel above which benign disease is unlikelySensitivity
CA 27.291,2 < 38 units per mLBreast cancerColon, gastric, hepatic, lung, pancreatic, ovarian, and prostate cancersBreast, liver, and kidney disorders, ovarian cysts> 100 units per mLElevated in about 33% of early-stage breast cancers and about 67% of late-stage breast cancers
CEA3,4 < 2.5 ng per mL in nonsmokers
< 5 ng per mL in smokers
Colorectal cancerBreast, lung, gastric, pancreatic, bladder, medullary thyroid, head and neck, cervical, and hepatic cancers, lymphoma, melanomaCigarette smoking, peptic ulcer disease, inflammatory bowel disease, pancreatitis, hypothyroidism, cirrhosis, biliary obstruction>10 ng per mLElevated in less than 25% of early-stage colon cancers and 75% of late-stage colon cancers
CA 19-95 < 37 units per mLPancreatic cancer, biliary tract cancersColon, esophageal, and hepatic cancersPancreatitis, biliary disease, cirrhosis> 1,000 units per mLElevated in 80% to 90% of pancreatic cancers and 60% to 70% of biliary tract cancers*
AFP6 < 5.4 ng per mLHepatocellular carcinoma, nonseminomatous germ cell tumorsGastric, biliary, and pancreatic cancersCirrhosis, viral hepatitis, pregnancy> 500 ng per mLElevated in 80% of hepatocellular carcinomas
Nonseminomatous germ cell tumors: see β-hCG below
β-hCG7,8 < 5 mIU per mLNonseminomatous germ cell tumors, gestational trophoblastic diseaseRarely, gastrointestinal cancersHypogonadal states, marijuana use> 30 mIU per mL7 AFP or β-hCG elevated in 85% of nonseminomatous germ cell tumors; elevated in only 20% of early-stage nonseminomatous germ cell tumors
CA 125911 < 35 units per mLOvarian cancerEndometrial, fallopian tube, breast, lung, esophageal, gastric, hepatic, and pancreatic cancersMenstruation, pregnancy, fibroids, ovarian cysts, pelvic inflammation, cirrhosis, ascites, pleural and pericardial effusions, endometriosis> 200 units per mL11 Elevated in about 85% of ovarian cancers; elevated in only 50% of early-stage ovarian cancers
PSA1214 < 4 ng per mL for screening
Undetectable level after radical prostatectomy
Prostate cancerNoneProstatitis, benign prostatic hypertrophy, prostatic trauma, after ejaculation> 10 ng per mL12 Elevated in more than 75 percent of organ-confined prostate cancers14